Individual
MISS JELAINE JOSE TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 BOOTHE CIR, LONGWOOD, FL 32750-6774
(407) 573-7206
(855) 437-3395
Mailing address
1908 BOOTHE CIR, LONGWOOD, FL 32750-6774
(407) 573-7203
(855) 437-3395
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
171400000X
FL
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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